Register

Step 1 of 5 - Player Profile

* Optional: We always appreciate having game action shots or still shots of the players in uniform to link to our Vital Alumni Section or player of the month selections.

Parent/Guardian

First Name*

Last Name*

Email*

Mobile Phone*

Address*

Street AddressCityState / Province / RegionZIP / Postal CodeCountry

In case of emergency who should we contact?

Name*

Phone Number*

Relationship*

Medical Information

Are there any allergies we should be aware of?

Has the player had any major injuries or surgeries?

Does the player carry any of the following?

Epi Pen

Asthma Puffer

Medication

Medic Alert Bracelet

Camp Selection

Which type of camp are you looking for?

Seasonal Skills Camps (Winter, March Break)

Summer Full Day Hockey Camps (July & August 2017)

Please choose the type of camp you want to register for. Our next camp series is Summer Full Day Camps 2017

Select Camp*

Winter Break Camp Tues Jan 2nd to Thursday Jan 4th 2018

March Break Camp 2018 Mon March 12th to Thurs March 15th 2018

Winter Break Camp 2018*

9:00am - 11:00am Power Skating & Efficiency

9:00am - 11:00am Power Skating & Efficiency (Group Rate)

11:00am - 1:00pm Explosive Skills & Goal Scoring

11:00am - 1:00pm Explosive Skills & Goal Scoring (Group Rate)

1:00pm - 3:00pm Body Contact Clinic

1:00pm - 3:00pm Body Contact Clinic (Group Rate)

Note: If you are part of a group of 6 or more, please select the (GROUP RATE) choice where you will then be asked to input the group name. If you have multiple siblings being registered, please select the group rates and place "Multiple Sibling" in the group name box. *NOTE members of groups that are not 6 or more will pay the additional non-group registration difference on the first day of camp.

March Break Camp 2018*

9:00am - 11:00am Power Skating & Efficiency

9:00am - 11:00am Power Skating & Efficiency (Group Rate)

11:00am - 1:00pm Explosive Skills & Goal Scoring

11:00am - 1:00pm Explosive Skills & Goal Scoring (Group Rate)

1:00pm - 3:00pm Body Contact Clinic

1:00pm - 3:00pm Body Contact Clinic (Group Rate)

Tip Jim cause he's Vital

Note: If you have multiple siblings being registered, please select the group rates and place "Multiple Sibling" in the group name box. *NOTE members of groups that are not 6 or more will pay the additional non-group registration difference on the first day of camp.

GROUP NAME (if applicable)

Enter the name of the group you are registering under or MULTIPLE SIBLING if registering multiple players in the same household

Select a Week*

Week 1 Mon. July 17th to Thurs. July 20th 2017

Week 2 Mon.Aug 14th to Thurs. Aug 17th 2017

Week 3 Mon Aug 21st to Thurs. Aug 24th 2017

Choose the week you would like to register for. If there are multiple weeks, check off "yes" when asked to select an additional week. All multi-session discounts will automatically be applied to the total.

Meal plan for the first week?*

Yes (Add $55)

No

The meal plan is available from the arena restaurant and features a different menu daily. At past camps, menu items have included Pizza and Salad, Chicken Fingers and Fries, Spaghetti and Meatballs and Hamburger and Fries. The menu can be subject to change.

Add a second week?*

Yes

No

Select a second week*

Mon. Aug 14th to Thurs. Aug.17th 2017

Mon. Aug 21st to Thurs. Aug. 24th 2017

This box has appeared because you have selected to add a second week for the registration. Please note that the multiple week registration discount will be applied to the cost of the second week.

Meal plan for the second week?*

Yes (Add $55)

No

The meal plan is available from the arena restaurant and features a different menu daily. At past camps, menu items have included Pizza and Salad, Chicken Fingers and Fries, Spaghetti and Meatballs and Hamburger and Fries. The menu can be subject to change.

Add a third week?

Yes

No

Select a third week*

Mon. Aug 21st to Thurs. Aug. 24th 2017

Meal Plan for the third week?*

Yes (Add $55)

No

Total

$ 0.00 CAD

Total

$ 0.00 CAD

Minor Waiver/Release
RELEASE OF LIABILITY FOR PARTICIPANTS
READ BEFORE SIGNING
IN CONSIDERATION OF the hockey skill development program being offered, my child/ward, being allowed to participate in any way in the hockey related events and activities, Vital Hockey Skills acknowledges, appreciates, and agrees that:
The risk of injury to my child from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
1) FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my child's participation; and,
2) I willingly agree to comply with the program's stated and customary terms and conditions for participation. If I observe any unusual significant concern in my child's readiness for participation and/or in the program itself, I will remove my child from the participation and bring such attention of the nearest official immediately; and,
3) I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Vital Hockey Skills, its directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my child's involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
4) I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Option*

Terms and Conditions*

Agree

I Disagree

By clicking Agree, you are acknowledging that you have read and fully understand the terms of agreement to attend the camp. You also acknowledge that there are NO REFUNDS or CREDITS for missed camps or last minute injuries or illnesses.

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